Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic Conundrum

Metastasis of renal cell carcinoma to the ampulla of Vater is a rare occurrence. The outlined case, which presented as an upper gastrointestinal bleed, is only the eighth such reported case in the English-language literature. This case is the longest reported time interval between surgical nephrecto...

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Main Authors: Rhonda M Janzen, Alnoor S Ramj, Julia DA Flint, Charles H Scudamore, Eric M Yoshida
Format: Article
Language:English
Published: Wiley 1998-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1998/429832
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author Rhonda M Janzen
Alnoor S Ramj
Julia DA Flint
Charles H Scudamore
Eric M Yoshida
author_facet Rhonda M Janzen
Alnoor S Ramj
Julia DA Flint
Charles H Scudamore
Eric M Yoshida
author_sort Rhonda M Janzen
collection DOAJ
description Metastasis of renal cell carcinoma to the ampulla of Vater is a rare occurrence. The outlined case, which presented as an upper gastrointestinal bleed, is only the eighth such reported case in the English-language literature. This case is the longest reported time interval between surgical nephrectomy to presentation with ampullary metastasis at 17.5 years. The ampullary source of bleeding in this case was initially obscure and missed by conventional gastroscopy. Diagnosis was made with a side-viewing endoscope, emphasizing the usefulness of this instrument in the investigation of active bleeding from a small bowel source.
format Article
id doaj-art-1b11f8f8133c414eb1330c3d21a6dcf8
institution Kabale University
issn 0835-7900
language English
publishDate 1998-01-01
publisher Wiley
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series Canadian Journal of Gastroenterology
spelling doaj-art-1b11f8f8133c414eb1330c3d21a6dcf82025-02-03T05:54:18ZengWileyCanadian Journal of Gastroenterology0835-79001998-01-01121757810.1155/1998/429832Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic ConundrumRhonda M Janzen0Alnoor S Ramj1Julia DA Flint2Charles H Scudamore3Eric M Yoshida4Department of Surgery, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Anatomical Pathology, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaMetastasis of renal cell carcinoma to the ampulla of Vater is a rare occurrence. The outlined case, which presented as an upper gastrointestinal bleed, is only the eighth such reported case in the English-language literature. This case is the longest reported time interval between surgical nephrectomy to presentation with ampullary metastasis at 17.5 years. The ampullary source of bleeding in this case was initially obscure and missed by conventional gastroscopy. Diagnosis was made with a side-viewing endoscope, emphasizing the usefulness of this instrument in the investigation of active bleeding from a small bowel source.http://dx.doi.org/10.1155/1998/429832
spellingShingle Rhonda M Janzen
Alnoor S Ramj
Julia DA Flint
Charles H Scudamore
Eric M Yoshida
Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic Conundrum
Canadian Journal of Gastroenterology
title Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic Conundrum
title_full Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic Conundrum
title_fullStr Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic Conundrum
title_full_unstemmed Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic Conundrum
title_short Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic Conundrum
title_sort obscure gastrointestinal bleeding from an ampullary tumour in a patient with a remote history of renal cell carcinoma a diagnostic conundrum
url http://dx.doi.org/10.1155/1998/429832
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